CN103505263B - Fallopian tube crushing clamp for laparoscope - Google Patents
Fallopian tube crushing clamp for laparoscope Download PDFInfo
- Publication number
- CN103505263B CN103505263B CN201210213225.6A CN201210213225A CN103505263B CN 103505263 B CN103505263 B CN 103505263B CN 201210213225 A CN201210213225 A CN 201210213225A CN 103505263 B CN103505263 B CN 103505263B
- Authority
- CN
- China
- Prior art keywords
- fallopian tube
- clamp piece
- extruding clamp
- drive link
- extruding
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2902—Details of shaft characterized by features of the actuating rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/2912—Handles transmission of forces to actuating rod or piston
- A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
- A61B2017/292—Handles transmission of forces to actuating rod or piston details of linkages or pivot points connection of actuating rod to handle, e.g. ball end in recess
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
- A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
Abstract
The invention relates to a fallopian tube crushing clamp for a laparoscope. The fallopian tube crushing clamp comprises a control clamp, a transmission rod and two hinged crushing clamp pieces. The crushing clamp pieces are bent rigid clamp pieces. The middle of the inner side of each crushing clamp piece is in an arc shape, the two crushing clamp pieces form a flat circular opening when closed, and therefore a fallopian tube to be crushed can be placed in the flat circular opening. The two crushing clamp pieces are bent outwards to form free end in an opposite mode from closed points, and the free ends are in the shape of an opened opening when the crushing pieces are closed. The fallopian tube crushing clamp for the laparoscope has the advantages that no-damage crushing method is adopted under the direct viewing of the laparoscope, and a gestational sac is crushed out of the umbrella end of the fallopian tube, so that the structure of the fallopian tube is not damaged in the operation process, and the fallopian tube injury caused by a salpingectomy or a windowing embryo-removing operation of the fallopian tube is avoided.
Description
Technical field
The present invention relates to bio-medical clothing arts, particularly relate to a kind of fallopian tube crush inhury being applicable to use under peritoneoscope.
Background technology
Ectopic pregnancy is one of modal disease of gynecological.Peritoneoscope diagnosis and treatment art is the important means for the treatment of ectopic pregnancy, and its definite effect, can process other gynaecological problem of merging, and wound is little simultaneously, recovers fast, economical and efficient, has become the goldstandard for the treatment of ectopic pregnancy and instead of Tradtional laparotomy.The common method for the treatment of ectopic pregnancy under peritoneoscope has two kinds: 1, ipsilateral fallopian tube excision: this art formula is suitable for the women that atoke requires, but for non-child-bearing woman, its pregnancy rate at least declines 50%, if merge ipsilateral fallopian tube dysfunction, be more not suitable for adopting ipsilateral fallopian tube excision, and patient compliance is low; 2, ipsilateral fallopian tube is windowed and is got embryo art: method cuts fallopian tube in oviducal pregnant implantation portion, take out pregnant thing, then coagulation or Suture hemostasis are carried out to fallopian tube, the shortcoming that this art formula exists has: 1) fallopian tube damage, fallopian tube can be caused after windowing to destroy, no matter lose blood, be that coagulation or stitching all can cause damage to fallopian tube; 2) window after wound healing and have cicatrization, endosalpinx cilia damage, affect oviducal convey of fertilized ovum function, the possibility of second time ectopic pregnancy can be caused.
Summary of the invention
In order to overcome the technological deficiency of current clinical treatment ectopic pregnancy, the invention provides a kind of fallopian tube crush inhury being applicable to use under peritoneoscope, thus realize carrying out extruding treatment ectopic pregnancy to fallopian tube under peritoneoscope direct-view, this crush inhury is slight on Tubal Function of Sterility impact, obviously can reduce fallopian tube damage.
For achieving the above object, technical scheme of the present invention is:
A kind of be used for laparoscopically fallopian tube crush inhury, comprise and control pincers, drive link and two hinged extruding clamp pieces; Described control pincers comprise two hinged clamp handles, and one of them mobilizable described clamp handle is connected with drive link, and are moved between the open and the closed positions by the described extruding clamp piece of mobile control of described drive link; Described extruding clamp piece is bending rigidity folder; Wherein, the mid portion of the inner side of described extruding clamp piece is arc-shaped, forms an oblate mouth when two described extruding clamp pieces close, for putting the fallopian tube needing extruding; Two relative outside sweep of described extruding clamp piece self-closing point extend to form free end, and described free end is when described extruding clamp piece closes in the opening shape opened, and opening shape is preferably in fish mouth shape.
Further, the widest part of the oblate mouth formed when two described extruding clamp pieces close is not more than 2.4mm, preferred 2mm.
Further, the outermost end of described extruding clamp piece is 5-6mm to the length of the closing point nearest with it, and when closed, the port distance of the free end of two described extruding clamp pieces is 4.7-5.0mm.
Further, the bandy radius of curvature of free end of described extruding clamp piece is between 9-13mm.
Further, the length of described extruding clamp piece is 26-30mm.
Preferably, the other end of described drive link is arranged with link, and described link comprises Plug Division and limiting section; Described Plug Division can be built in sleeve pipe sliding freely, and is provided with for the through hole through described drive link; Described limiting section is provided with for the accommodating described stiff end of extruding clamp piece and the slot of STATEMENT OF FEDERALLY SPONSORED; The stiff end of described extruding clamp piece is hinged with one end of a described STATEMENT OF FEDERALLY SPONSORED respectively, and the other end of described STATEMENT OF FEDERALLY SPONSORED is articulated with the end of described drive link.
Alternatively, described sleeve pipe is provided with for rotating casing and drive link to the runner assembly of diverse location.
Fallopian tube crush inhury provided by the invention can extrude fallopian tube under peritoneoscope direct-view, fallopian tube crush inhury can 360 ° of rotations, there is a space two clamp piece inside, the i.e. closed rear oblate mouth formed, firmly fallopian tube tube chamber just " can be contained ", both ensure that certain compressing, and excessive crush injury can not have been caused to fallopian tube again, the free end of extruding clamp piece is fish mouth sample, can effectively prevent clamp piece far-end from causing lacerated wound to oviduct tissue.Pregnant thing can extruded from ipsilateral fallopian tube by the present invention under fallopian tube being cut to the state of windowing, have little to fallopian tube wound, its function effect slightly, do not damaged to endosalpinx, without synulotic advantage, be specially adapted to fallopian tube destructiveness do not weigh, isthmus of uterine tube is with the ectopic pregnancy of lower portion.
Accompanying drawing explanation
Fig. 1 is the structural representation of embodiments of the invention, and extruding clamp piece in figure is closure state;
Fig. 2 is the structural representation of embodiments of the invention, and extruding clamp piece in figure is open mode;
Fig. 3 is the enlarged drawing of the clamp handle part in Fig. 2;
Fig. 4 is the enlarged drawing extruding clamp piece part in Fig. 1;
Fig. 5 is the side view extruding clamp piece part in Fig. 1;
Fig. 6 is the axonometric chart of the extruding clamp piece part of embodiments of the invention; Extruding clamp piece in figure is closure state;
Fig. 7 is the axonometric chart of the extruding clamp piece part of embodiments of the invention; Extruding clamp piece in figure is open mode.
Detailed description of the invention
The present invention is further illustrated below by embodiment, but not as limit.
It should be noted that, the control pincers that extruding clamp piece of the present invention adopts, Main Function is the open and close utilizing manual clamp handle to control the extruding clamp piece of front end.Therefore, based on this object, the present invention can use any one in existing laparoscopic surgery can realize the abdominal operation pincers of above-mentioned functions, and is not limited only to the structure that provides in following specific embodiment.
As Figure 1-3, the invention provides a kind of for laparoscopically fallopian tube crush inhury, comprise and control pincers 1, drive link 2 and two hinged extruding clamp pieces 3; Drive link 1 is built in a shaft-like sleeve pipe 4, and sleeve pipe 4 is provided with wheel set assembly 8.Control pincers 1 comprise two hinged clamp handles 11,12, and arrange in pistol type, wherein the front end of mobilizable clamp handle 11 is provided with loose slot 110, and the ball-shaped end 21 for accommodating drive link 2 is rotated arbitrarily; The front end of another fixing clamp handle 12 is formed with bracing frame 10, for fixing wheel set assembly 8 and sleeve pipe 4; The rear end of drive link 2, through the through hole of fixing clamp handle 12, is connected with movable clamp handle 11.Above-mentioned drive link 2 is built in the sleeve pipe 4 that a metal material makes, and the outside of sleeve pipe 4 is provided with insulation shell 41; Under the effect of mobilizable clamp handle 11, drive link 2 freely can slide in sleeve pipe 4; The front end of drive link 2 is connected with extruding clamp piece 31,32, when it moves, can control crush inhury sheet 31,32 and move between the open and the closed positions.
As shown in figs. 4-7, extruding clamp piece 31,32 is bending rigidity folder, and stainless steel material can be adopted to make; And there is smooth surface and fillet.Wherein, the mid portion of the inner side of extruding clamp piece 31,32 is arc-shaped, when two extruding clamp pieces 31,32 are closed, can form an oblate mouth, for putting the fallopian tube needing extruding; The relative outside sweep of free end 310,320 of two extruding clamp pieces 31,32, in the fish mouth shape of opening when closed, to avoid, in extrusion process, causing damage to fallopian tube.In the present embodiment, as preferably, the length of extruding clamp piece is 28mm, and the widest part of the oblate mouth formed time closed is 2mm, and this width can contain fallopian tube just, both ensure that certain compressing, can not cause excessive crush injury again to fallopian tube.Further, preferably, the bandy radius of curvature of free end 310,320 of two described extruding clamp pieces is between 9-13mm, and the outermost end of the free end 310,320 of design extruding clamp piece to the length of the closing point A nearest with it is 5mm, the port distance of two free ends 310,320 is 5.0mm, can be reduced to minimum by the damage of extruding clamp piece to organ thus.In the present embodiment, drive link 2 is to the control structure of extruding clamp piece, and the present invention have employed that the STATEMENT OF FEDERALLY SPONSORED 71,72 of a pair laminated structure realizes especially.Certainly, to those skilled in the art, the effect of this STATEMENT OF FEDERALLY SPONSORED is exactly by the open and close of clamp handle, interlock passes to extruding clamp piece, extruding clamp piece is made to form opening and closing state, except the STATEMENT OF FEDERALLY SPONSORED structure shown in the present embodiment, any other feasible mode of the prior art can also be adopted.Specifically, the lower end of drive link 2 is arranged with link 6, and link 6 comprises Plug Division 61 and limiting section 62.Above-mentioned Plug Division 61 can be built in sleeve pipe 4 sliding freely, and meanwhile, this center, Plug Division 61 is provided with for the through hole through drive link 3.Above-mentioned limiting section 62 is provided with the U-shaped slot of stiff end 311,321 for accommodating extruding clamp piece 31,32 and STATEMENT OF FEDERALLY SPONSORED 71,72, extruding clamp piece 31,32 respectively with one one end of described STATEMENT OF FEDERALLY SPONSORED 71,72 hinged, the other end of described STATEMENT OF FEDERALLY SPONSORED 71,72 is articulated with the lamellar end 22 of described drive link 2.Meanwhile, the stiff end 311,321 of extruding clamp piece matches in flat with U-shaped slot, to ensure to extrude clamp piece 31,32 by stably open and close.It should be noted that, in order to the syndeton between clear extruding clamp piece 31,32 and STATEMENT OF FEDERALLY SPONSORED 71,72 can be represented, in Fig. 6,7, do not draw link 6.
During use, only needs finger upwards cocked movable clamp handle 11, drive link 2 moves to sleeve pipe 4 outer end thereupon, by the space constraint of the U-shaped slot of link 6, drive link 2 promotes STATEMENT OF FEDERALLY SPONSORED 71,72 and moves laterally, the fixed part of extruding clamp piece 31,32 also moves thereupon laterally, thus is opened by the free end 310,320 of extruding clamp piece.After finding operative site, then regain movable clamp handle 11 downwards, drive link 2 bounces back, and drive the stiff end 311,321 of STATEMENT OF FEDERALLY SPONSORED 71,72 and extruding clamp piece inwardly to regain, extruding clamp piece 31,32 is returned to closure state, thus is just contained by fallopian tube.Subsequently, mobile extruding clamp piece 3, can squeeze out intratubal foreign body.
Consult Fig. 3 further, sleeve pipe 4 of the present invention is provided with the runner assembly 8 for rotating casing 4 and drive link 2, and for the 360 degree of rotations realizing extruding clamp piece 3, but be not limited only to this, the present invention can also adopt any one known runner assembly in prior art.This runner assembly 8 comprises runner 81, wheel carrier 82 and wheel seat 83, and wheel seat 83 is threadedly connected to runner 81.One end of runner 81 can be set on bracing frame 10, and with wheel carrier 82 interlock, wheel carrier 82 is connected with sleeve pipe 4, wheel carrier 82 is provided with the limit spring 84 and locating part 85 that cooperatively interact, 8 locating slots 86 matched with locating part 85 are provided with, the anglec of rotation that different locating slots 86 is corresponding different in bracing frame 10.During use, only need rotating wheel 81, sleeve pipe 4, trace 2 and extruding clamp piece 3 just turn to different directions thereupon and position.
Further, the bracing frame 10 of fixing clamp handle can also be provided with coagulating electrode assembly by selectivity, this coagulating electrode assembly can be selected from of the prior art any one.Certainly, extruding clamp piece 3 of the present invention also can not be provided with the function of coagulating electrode.Electrode plug 9 position is only shown in Fig. 1-3, does not provide structure and the position of concrete conducting strip.This coagulating electrode assembly in operation, can carry out electric coagulation hemostasis to operative site.
Parts involved by above-described embodiment all will meet all surgical operations avirulence and clean requirement.
Certainly; the present invention also can have other various embodiments; when not deviating from invention spirit and essence thereof, those of ordinary skill in the art can make various corresponding change and distortion according to invention, but these change accordingly and distortion all should belong to protection domain of the presently claimed invention.
Claims (9)
1., for a laparoscopically fallopian tube crush inhury, comprise and control pincers, drive link and two hinged extruding clamp pieces; Described control pincers comprise two hinged clamp handles, and one of them mobilizable described clamp handle is connected with drive link, and are moved between the open and the closed positions by the described extruding clamp piece of mobile control of described drive link; It is characterized in that, described extruding clamp piece is bending rigidity folder; Wherein, the mid portion of the inner side of described extruding clamp piece is arc-shaped, forms an oblate mouth when two described extruding clamp pieces close, for putting the fallopian tube needing extruding; Two relative outside sweep of described extruding clamp piece self-closing point extend to form free end, described free end when described extruding clamp piece closes in the opening shape opened.
2. crush inhury as claimed in claim 1, is characterized in that, the widest part of the oblate mouth formed when two described extruding clamp pieces close is not more than 2.4mm.
3. crush inhury as claimed in claim 2, is characterized in that, the widest part of the oblate mouth formed when two described extruding clamp pieces close is 2mm.
4. crush inhury as claimed in claim 2, is characterized in that, the outermost end of described extruding clamp piece is 5-6mm to the length of the closing point nearest with it, and when closed, the port distance of the free end of two described extruding clamp pieces is 4.7-5.0mm.
5. crush inhury as claimed in claim 4, it is characterized in that, the bandy radius of curvature of free end of described extruding clamp piece is between 9-13mm.
6. crush inhury as claimed in claim 5, it is characterized in that, the length of described extruding clamp piece is 26-30mm.
7., as the crush inhury as described in arbitrary in claim 1-6, it is characterized in that, the other end of described drive link is arranged with link, and described link comprises Plug Division and limiting section; Described Plug Division can be built in sleeve pipe sliding freely, and is provided with for the through hole through described drive link; Described limiting section is provided with for the accommodating described stiff end of extruding clamp piece and the slot of STATEMENT OF FEDERALLY SPONSORED; The stiff end of described extruding clamp piece is hinged with one end of a described STATEMENT OF FEDERALLY SPONSORED respectively, and the other end of described STATEMENT OF FEDERALLY SPONSORED is articulated with the end of described drive link.
8. crush inhury as claimed in claim 7, is characterized in that, described sleeve pipe is provided with for rotating casing and drive link to the runner assembly of diverse location.
9. crush inhury as claimed in claim 1, it is characterized in that, the opening shape of the free end of described extruding clamp piece is preferably fish mouth shape.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201210213225.6A CN103505263B (en) | 2012-06-26 | 2012-06-26 | Fallopian tube crushing clamp for laparoscope |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201210213225.6A CN103505263B (en) | 2012-06-26 | 2012-06-26 | Fallopian tube crushing clamp for laparoscope |
Publications (2)
Publication Number | Publication Date |
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CN103505263A CN103505263A (en) | 2014-01-15 |
CN103505263B true CN103505263B (en) | 2015-07-01 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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CN201210213225.6A Expired - Fee Related CN103505263B (en) | 2012-06-26 | 2012-06-26 | Fallopian tube crushing clamp for laparoscope |
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CN (1) | CN103505263B (en) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN105078467B (en) * | 2015-09-06 | 2018-01-12 | 上海凯利泰医疗科技股份有限公司 | Intracavitary measurement apparatus and measuring method |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5217030A (en) * | 1989-12-05 | 1993-06-08 | Inbae Yoon | Multi-functional instruments and stretchable ligating and occluding devices |
CN201642209U (en) * | 2010-03-12 | 2010-11-24 | 深圳市宝安区西乡人民医院 | Forceps for fallopian tube |
CN102397091A (en) * | 2010-09-10 | 2012-04-04 | 王鹏 | Exquisite pushing tube double-vision minimally invasive surgery instrument |
CN202682007U (en) * | 2012-06-26 | 2013-01-23 | 重庆市妇幼保健院 | Oviduct extruding clamp for laparoscope |
-
2012
- 2012-06-26 CN CN201210213225.6A patent/CN103505263B/en not_active Expired - Fee Related
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5217030A (en) * | 1989-12-05 | 1993-06-08 | Inbae Yoon | Multi-functional instruments and stretchable ligating and occluding devices |
CN201642209U (en) * | 2010-03-12 | 2010-11-24 | 深圳市宝安区西乡人民医院 | Forceps for fallopian tube |
CN102397091A (en) * | 2010-09-10 | 2012-04-04 | 王鹏 | Exquisite pushing tube double-vision minimally invasive surgery instrument |
CN202682007U (en) * | 2012-06-26 | 2013-01-23 | 重庆市妇幼保健院 | Oviduct extruding clamp for laparoscope |
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Publication number | Publication date |
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CN103505263A (en) | 2014-01-15 |
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